NY State Senate Bill 2023-S8186

Senate Bill S8186

2023-2024 Legislative Session

Requires recommendation of blood lead level screenings when a health care provider finds high lead levels in blood of a child

download bill text pdf

Current Bill Status - In Senate Committee Health Committee

Introduced
- In Committee Assembly
- In Committee Senate
- On Floor Calendar Assembly
- On Floor Calendar Senate
- Passed Assembly
- Passed Senate
Delivered to Governor
Signed By Governor

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	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Jan 11, 2024	referred to health

2023-S8186 (ACTIVE) - Details

See Assembly Version of this Bill:: A9146
Current Committee:: Senate Health
Law Section:: Public Health Law
Laws Affected:: Amd §1370-e, Pub Health L
Versions Introduced in Other Legislative Sessions:: 2017-2018: A11198
2019-2020: A669
2021-2022: A5748

2023-S8186 (ACTIVE) - Summary

Requires the recommendation to a parent for blood lead level screenings of his or her child when a health care provider finds high lead levels in the blood of such child; directs the department of health to conduct an environmental investigation when a child is found to have high levels of lead in his or her blood.

2023-S8186 (ACTIVE) - Sponsor Memo

                                 
BILL NUMBER: S8186

SPONSOR: CLEARE
 
TITLE OF BILL:

An act to amend the public health law, in relation to screening for lead
poisoning in children

 
PURPOSE OR GENERAL IDEA OF BILL:

The purpose of this bill is to require primary care providers to ensure
follow up screening for children testing with elevated blood-lead levels
and require the department of health to ensure all environmental
inspections occur in accordance with current regulations.

 
SUMMARY OF PROVISIONS:

Section one amends the public health law to first, require primary care
providers to recommend follow up blood Led Level screening for children
that test with elevated blood lead levels. The blood lead, levels must
be between 15 micrograms per deciliter of whole blood through 24.99
micrograms per deciliter of whole blood.

Second, the bill requires that if a child's blood level test is above 25
micrograms per deciliter of whole blood, the state must ensure that the
environmental inspection, as required in NYC RR Title X, part 67-1, has
been completed. Finally, if the environmental inspection has not been
completed, the department of health must complete the inspection imme-
diately.

 
JUSTIFICATION:

Children are at the highest risk when exposed to lead paint. Once
exposed to dangerous levels, there is no remediation available. Lead
paint exposure can cause gastrointestinal disturbances, hepatic an renal
damage, hypertension, and neurological effects that may be fatal.

If children are over exposed to lead and suffer from lead poisoning,
they can be left with lifelong health issues. According to the World
Health Organization (WHO), "young children absorb 4-5 times as much lead
as adults..."

The reasons children are more vulnerable to the adverse effects of lead
exposure include: 1) the intake of lead per unit body weight is higher,
2) more dust may be ingested, 3) lead absorption in the gastrointestinal
tract is higher, 4) the blood-brain bather is not yet fully developed,
and 5) neurological effects occur at lower levels than in adults.

By requiring expanded follow-up, the department will be able to monitor
exposure and ensure proper environmental remediation happens expe-
ditiously.

 
PRIOR LEGISLATIVE HISTORY:

Assembly: 02/24/21 referred to health,

01/05/22 referred to health, 01/09/19 Referred to Health, 06/14/18
Referred to Health

Senate: 02/26/18 Referred to Health

 
FISCAL IMPLICATIONS:

To be determined

 
EFFECTIVE DATE:
This Act shall take effect immediately

2023-S8186 (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8186
 
                             I N  S E N A T E
 
                             January 11, 2024
                                ___________
 
 Introduced  by  Sen.  CLEARE -- read twice and ordered printed, and when
   printed to be committed to the Committee on Health
 
 AN ACT to amend the public health law, in relation to screening for lead
   poisoning in children
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section  1.  Section  1370-e  of  the  public health law is amended by
 adding two new subdivisions 6 and 7 to read as follows:
   6. THE DEPARTMENT SHALL REQUIRE PRIMARY CARE  PROVIDERS  TO  RECOMMEND
 FOLLOW UP BLOOD LEAD LEVEL SCREENINGS TO PARENTS OF CHILDREN WHOSE BLOOD
 LEAD  LEVELS  TEST AT NOT LESS THAN 15 MICROGRAMS PER DECILITER OF WHOLE
 BLOOD UP TO 24.99 MICROGRAMS PER DECILITER OF WHOLE BLOOD.
   7. IF A CHILD'S BLOOD LEVEL TEST IS ABOVE 25 MICROGRAMS PER  DECILITER
 OF  WHOLE BLOOD, THE COMMISSIONER OR HIS DESIGNEE SHALL TAKE APPROPRIATE
 MEASURES TO ENSURE THAT AN ENVIRONMENTAL INVESTIGATION, AS  REQUIRED  BY
 SUBPART  67-2  OF TITLE TEN OF THE NEW YORK STATE CODES, RULES AND REGU-
 LATIONS, IS COMPLETED. IF THE DEPARTMENT FINDS  THAT  THE  INVESTIGATION
 HAS  NOT  BEEN COMPLETED WITHIN ONE HUNDRED EIGHTY DAYS OF ITS NOTICE OF
 THE BLOOD LEAD LEVEL FINDING, THE DEPARTMENT SHALL COMPLETE SUCH  INVES-
 TIGATION  IMMEDIATELY.  THE  DEPARTMENT  MAY TAKE REASONABLE MEASURES TO
 COLLECT  THE  COSTS  OF  CONDUCTING  THESE  ASSESSMENTS  FROM   ENTITIES
 ORIGINALLY RESPONSIBLE FOR CONDUCTING THEM.
   § 2. This act shall take effect immediately.
 
 
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD00745-01-3

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